Individual
MISS KATHLEEN MAY KELLIHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
25117 SW PARKWAY AVE, WILSONVILLE, OR 97070-9697
(503) 570-3665
(503) 570-9155
Mailing address
1057 ANTIOCH ST, LEBANON, OR 97355-1367
(541) 258-3576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2648
OR
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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